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MR. JOSE L VILLAGOMEZ MD
NPI 1699717462
General Practice in Los Angeles, CA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
12099 W WASHINGTON BLVD STE 400, LOS ANGELES, CA 90066(310) 398-3803(310) 398-5189 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jose L Villagomez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSE L VILLAGOMEZ MD (NPI 1699717462) is an individual general practice provider in Los Angeles, California, licensed in California (A61283) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1995).

NPPES Registry Identity

NPI1699717462
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JOSE L VILLAGOMEZCredential: MD
Location Address12099 W WASHINGTON BLVD STE 400Los Angeles, CA 90066-2620
Mailing Address12099 W Washington Blvd Ste 400Los Angeles, CA 90066-2620 · (310) 398-3803 · Fax (310) 398-5189
Phone(310) 398-3803
Fax(310) 398-5189
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1995
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1699717462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A61283
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 3

Other00A612830CA · Medical
Other11613705Caqh
Medicaid00A612830CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jose L Villagomez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476518127
PECOS Enrollment IDI20041122001316
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services40 patients
Online digital evaluation and management service provided by nonphysician professional for up to 7 days, total time 11-20 minutes 98971
This service involves a nonphysician professional assessing your health status through digital means over a period of 7 days. The total engagement time ranges from 11-20 minutes. It's a convenient way to monitor and manage your health remotely.
15 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims40 services$3.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims13 services$0.96 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$186.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELES SHIFFMAN N.P.
Nurse Practitioner
12099 W WASHINGTON BLVD STE 400
LOS ANGELES, CA 90066
Los Angeles County (310) 398-3803
MS. KATHARINE ANNE PIUZE NP
Nurse Practitioner (Family)
12099 W WASHINGTON BLVD STE 400
LOS ANGELES, CA 90066
Los Angeles County (310) 729-3274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Villagomez's NPI number?

The NPI number for Jose Villagomez is 1699717462. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jose Villagomez located?

Jose Villagomez practices at 12099 W Washington Blvd Ste 400, Los Angeles, CA 90066. The listed phone number is (310) 398-3803.

What is Jose Villagomez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Villagomez enrolled in Medicare?

Yes. Jose Villagomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Villagomez was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.